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Benefits agent for nib

The benefits agent for nib answers what nib plans cover, with the figures for the member’s option.

Ridgeway LogisticsBenefits agentWhatsApp
  1. Customer: Does my plan cover physio?
  2. Read the plan guide for the member’s optionnib
  3. Benefits agent: Your plan guide pays that from your day-to-day benefit, up to its annual limit. From the statement you sent on 3 October, you have about R2,300 left. Want the nearest network options?
  4. Customer: Yes please.
  5. Found 3 nearbyNearby care finder
Sample conversation. People, brands and figures are made up.

What it can do with nib

  • Answers what nib plans cover, with the figures for the member’s option
  • Match the member to their nib option from the 3 on file (Bronze, Silver and Gold), with their membership number, from a message or a photo of their card
  • Answer general questions about nib cover, and send plan-specific ones to the nib service line rather than guess
  • Read a claims or benefit statement the member sends and explain each line still owed, in plain words

Questions

What does the benefits agent do with nib?

Answers what nib plans cover, with the figures for the member’s option.

Is the nib connector live?

Yes. nib is live in Health Loops today; pick an agent, switch the connector on and it works on your account.

Where do the benefits agent’s answers come from?

From the scheme’s own plan guide for the member’s option, or your own plan documents, with the source shown.

Does the agent decide nib claims or authorisations?

No.

Can HR see what staff say to the agent?

No.

Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.